Registration Form

• = Required

How many beds would you like to reserve? ($150.00 each)•

Church Name •

Group Leaders Name •

Church Address •

City •

State •

zip •

Church Phone Number •

Group Leaders Phone Number •

Church Email Address •

Please provide alternate email address that is different from the church email.

Group Leaders Email Address •

All information will be sent to church address, church email, or group leader email.

I would like to be signed up for CrossTimbers email updates •

Yes
No

2021-Grand Lake-CT-Session 3 - July 12-15